Bite se niba ubwonko buvuwe n'imiraba ya rukuruzi? Reka twige ibijyanye no gukangura ingufu za rukuruzi mu mutwe (TMS) mu buryo bworoshye!

Ese hari igihe wumva usanzwe ufata imiti yo kuvura indwara yo kwiheba kandi hari ubundi buryo? Ese wigeze wumva uburyo bwo kuvura budasaba kubagwa cyangwa gusinziriza, ariko bugafasha mu kugarura imikorere y'ubwonko? Uyu munsi tugiye kuvuga ku buryo butangaje bwazanye icyizere gishya ku bantu benshi. Ubu buryo bwitwa 'Transcranial Magnetic Stimulation' cyangwa TMS.

TMS ni iki mu by'ukuri? Ni gute rukuruzi igira ingaruka ku bwonko?

Izina rishobora kumvikana nk'irigoye gato, ariko reka tubisobanure. TMS ni uburyo bwo kuvura budakoresha ikoranabuhanga ridasanzwe kugira ngo bwohereze imitsi ya rukuruzi mu bice bimwe na bimwe by'ubwonko.

Noneho ushobora kwibaza uti "Ni gute rukuruzi igira ingaruka ku bwonko?" Biroroshye cyane. Twese tuzi ko hari isano ikomeye hagati y'amashanyarazi na rukuruzi. Ubwonko bwacu ni ahantu hakora cyane hamwe n'amamiliyoni y'ibimenyetso by'amashanyarazi bito bizenguruka. Uturemangingo tw'imitsi mu bwonko bwacu, twitwa neuron, turaganira, tuganira, binyuze muri ubwo butumwa buto bw'amashanyarazi.

Ubuvuzi bwa TMS bukora binyuze mu gushyira imbaraga zikomeye za rukuruzi ku gice runaka cy'ubwonko, bigatera imbaraga imikorere karemano y'uturemangingo tw'imitsi. By'umwihariko, mu bihe nk'ihungabana, ibice bimwe by'ubwonko bishobora kuba byaratakaje ibikorwa. TMS ikora binyuze mu 'kuvugurura' icyo gikorwa cyatakaje. Ni nko kongera gutangiza batiri y'imodoka yapfuye. Bishobora kugira ingaruka ku bice by'ubwonko bigenzura amarangamutima yacu, gufata ibyemezo, n'ibyishimo.

Ese hari ubwoko butandukanye bw'ubuvuzi bwa TMS?

Yego, hari uburyo butandukanye bwo kuvura TMS. Biterwa n'imbaraga za rukuruzi ikoreshwa, inshuro n'imiterere y'imiraba ya rukuruzi yoherejwe. Reka turebe ubwoko bw'ingenzi.

Ni izihe ndwara ubuvuzi bwa TMS bukoreshwa?

Ubusanzwe TMS si uburyo bwa mbere bwo kuvura. Abaganga bakunze kuyigira inama iyo ubundi buryo bwo kuvura, cyane cyane imiti, bwananiranye. Ikoreshwa kandi nk'uburyo bwiza bwo kuvura abantu badashobora kuvurwa nka Electroconvulsive Therapy (ECT).

Hari ibintu byinshi byemejwe ku mugaragaro ku buvuzi bwa TMS n'ibigo nka FDA (Ikigo gishinzwe ibiribwa n'imiti muri Amerika).

• Indwara yo kwiheba ikomeye (MDD): Cyane cyane ihungabana ridashobora kuvurwa.
• Indwara yo Kwiheba no Kwishyira mu Bitekerezo (OCD): Indwara irangwa n'ibitekerezo bidakenewe bihoraho no kunanirwa kugenzura ibikorwa bikora.
• Migraine: Ubwoko bumwe na bumwe bw'umutwe uterwa n'imitsi.
• Kureka kunywa itabi: Nk'inkunga yo kureka kunywa itabi.

Uretse izi ngingo zemewe, hari ubushakashatsi buri gukorwa hirya no hino ku isi kugira ngo harebwe niba uburyo bwo kuvura TMS bushobora kugira akamaro ku zindi ndwara nyinshi. Zimwe muri zo zirimo:

• Ibiyobyabwenge bitandukanye
• Indwara ya Alzheimer
• Indwara ya Bipolar
• Ububabare budakira
• Indwara ya Parkinson
• Indwara yo guhangayika nyuma yo guhungabana (PTSD)
• Ingorane ziterwa no gucika intege mu bwonko
• Gucuranga mu matwi (Tinnitus)

Ni iki kibaho mbere no mu gihe cyo kuvurwa na TMS?

Mbere yuko uvurwa na TMS, muganga wawe azakujyana ku muganga w’inzobere wize ibijyanye n’ubu buvuzi. Uyu muganga azaganira nawe, asuzume amateka y’ubuzima bwawe, hanyuma afate umwanzuro niba ubu buvuzi bukubereye kandi bufite umutekano.

Igihe ubuvuzi bwa TMS budakwiye gukorwa

Hari aho ubuvuzi bwa TMS bushobora guteza akaga .

• Niba ufite ibyuma cyangwa ibikoresho by'ikoranabuhanga byashyizwe mu mubiri wawe: Urugero, niba ufite implants za cochlear, ibyuma mu gahanga kawe, cyangwa aneurysm clips mu bwonko bwawe, ntushobora kugira TMS. Ibi biterwa nuko rukuruzi ikomeye muri TMS ishobora gukurura ibyo bice by'icyuma. Ibi bibaye, ububabare cyangwa gukomereka bikomeye bishobora kubaho.
• Niba ufite igicuri cyangwa amateka yacyo: Ubuvuzi bwa TMS bushobora gutera igicuri gake cyane. Kubwibyo, niba ufite ikibazo cy'igicuri cyangwa ufata imiti yongera ibyago byo kurwara igicuri, muganga wawe ashobora gutekereza ubundi buryo bwo kuvura.

Muganga wawe amaze gufata icyemezo cy'uko ubu buryo bwo kuvura bufite umutekano kuri wewe, azagusobanurira gahunda yo kuvura. TMS si uburyo bwo kuvura rimwe gusa. Ubusanzwe ugomba kujya mu mahugurwa y'ubuvuzi iminsi itatu kugeza kuri itanu mu cyumweru mu gihe cy'ibyumweru byinshi. Urugero, uburyo busanzwe bwo kuvura indwara yo kwiheba ni ibyumweru 6 byo kuvurwa, iminsi 5 mu cyumweru.

Ni iki kibaho mu gihe cyo kuvura?

Tekereza ko wagiye kwa muganga. Icyo ugomba gukora ni ugukora ikintu cyoroshye cyane.

1. Ubwa mbere, uzicara mu ntebe nziza cyane.

2. Niba indorerwamo zawe zifite ibyuma cyangwa wambaye imitako y'icyuma, bazagusaba kuyikuramo. Iyi ni ingamba zo kwirinda.

3. Hanyuma, uzahabwa utumashini tubiri two gushyira mu matwi yawe kugira ngo ugabanye urusaku. Ibi biterwa nuko imashini ya TMS itanga urusaku ruto iyo ifunguye. Ibi ni ukugira ngo wirinde ko amajwi yangiza amatwi yawe.

4. Hanyuma, umuganga cyangwa umuhanga mu by'ikoranabuhanga ahindura umurongo wa rukuruzi w'igikoresho cya TMS ku mutwe wawe.

5. Mbere yuko ubuvuzi butangira, bazasanga ahantu heza ku mutwe wawe kandi bongere imbaraga za rukuruzi buhoro buhoro, bohereze imitsi imwe. Muri iki gihe, uzumva ukozeho gato ku mutwe wawe.

6. Uko wongera imbaraga za rukuruzi, ushobora kubona ukuboko kwawe, cyane cyane igikumwe cyawe, guhindagurika mu buryo butunguranye. Ibi ni ibisanzwe rwose. Abaganga babyiteze kuko ari bwo bazi ko bageze ku mbaraga zikwiye zo kuvurwa.

7. Iyo habonetse ahantu heza n'imbaraga, imiraba ya rukuruzi izatangira kwerekezwa mu buryo wifuza. Icyo ugomba gukora ni ukwicara neza mu ntebe.

Ubusanzwe ubuvuzi bushobora kumara iminota mike kugeza ku gice cy'isaha . Bitandukana bitewe n'ubwoko bw'ubuvuzi uhabwa. Nyuma y'uko ubuvuzi burangiye, ushobora gusubira mu mirimo yawe isanzwe nta mibabaro.

Ni izihe nyungu n'ingaruka mbi zo kuvura TMS?

Nk’uko bimeze ku buryo ubwo ari bwo bwose bwo kuvura, TMS ifite ibyiza n’ingaruka zimwe na zimwe.

Ni ryari ukwiye kujya kwa muganga?

Niba warahawe ubuvuzi bwa TMS, ni ngombwa cyane kwitabira ubuvuzi bwawe ku gihe, nk'uko muganga agusaba . Kubura ubuvuzi bishobora kugabanya umusaruro w'ubuvuzi.

Nanone, niba ingaruka mbi urimo guhura nazo zisa n'izikomeye, cyangwa niba ugifite ububabare amasaha menshi nyuma yo kuvurwa, menya neza ko ubimenyesheje muganga wawe.

Ni iki cyakorwa mu gihe cy'ubutabazi bwihutirwa?

Abantu bafite indwara nk'ihungabana cyangwa OCD bashobora kugira ibitekerezo byo kwiyahura cyangwa kwiyahura. Niba wowe cyangwa undi muntu uzi afite ibi bitekerezo, nyamuneka ntubabare wenyine. Shaka ubufasha ako kanya.

• Telefone y'igihugu ishinzwe ubuvuzi bwo mu mutwe: Hamagara 1926 .
• Sumithrayo: Hamagara 011 2696666 maze ushobora kuganira ku byiyumvo byawe n'umuntu w'inshuti kandi w'ibanga.
• Niba wumva ko ushobora kuba uri mu kaga gakomeye, jya ku bitaro bikuru byita ku bibazo byihutirwa (ETU) by’ibitaro biri hafi yawe.

TMS si umuti w'igitangaza ku ndwara zose, ariko yashoboye guha abantu benshi batashoboye gukira indwara z'ubundi buryo bwo kuvura ubuzima bushya. Rero, niba wowe cyangwa undi muntu uzi arwaye indwara yo mu mutwe, vugana na muganga wawe ku bijyanye n'ubu buryo bwo kuvura bugezweho.